CLIA lab

CLIA 05D1050679: Permanante Medical Group, Inc,the

Richmond, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1050679 belongs to Permanante Medical Group, Inc,the in Richmond, CA.

Certificate for Provider-Performed Microscopy Procedures, effective February 8, 2026, expires February 7, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate for Provider-Performed Microscopy Procedures
Certificate effective
February 8, 2026
Certificate expiration
February 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 8, 2006
Facility type
Community clinic
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
7

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D1050679
Lab name
Permanante Medical Group, Inc,the
Additional name
Richmond Mob Ppmp Lab
Address
901 Nevin Ave 1st Fl, Attn Yonas Habte Clinic Lab, Richmond, CA 94801
Phone
(510) 910-0705
Fax
(510) 307-1868

Annual test volume the lab reported

Waived tests
3,000
Provider-performed microscopy tests
6,500
Total
9,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Richmond, CA

Related

Questions

What is the CLIA number for Permanante Medical Group, Inc,the in Richmond?

05D1050679, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Permanante Medical Group, Inc,the hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D1050679 expire?

The CMS file lists February 7, 2028 as the certificate expiration date; the certificate took effect February 8, 2026.

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